ESP • JET • PC PUMPS

Application Data Questionnaire

The following information will allow us to recommend the correct Stanley Filter for your application. If we are unable to recommend a Stanley Filter, we will also contact you. Should you have any questions regarding the completion of this form, or need immediate assistance, please feel free to call us at 800-545-9926.

Data Questionnaire for Rod Run and Tubing Applications

---

Company:
Contact:
Well Name & Number
Phone:
Fax:
Email
PUMP: How long is pump lasting? • Tubing size?
CASING:
Size? • Depth? • Perforations? Rathole • Open Hole Liner: YESNO • Size • From • To Mud/Gas Anchor: YESNO • Length • Size
DAILY PRODUCTION:
Oil • Water • Gas • Gavity B.H.T. (F.)(at pump intake) • Paraffin • Corrosion • Scale
ABRASIVES:
Size? • Fill in feet between pulls? • Do you have a sample?YESNO

---

---

Return to Home Page Menu || Return to Catalog Menu

---

Stanley Filter Company
10061 E. 52nd Street
Tulsa, OK 74146

Phone	800-545-9926 • 918-396-4141
Fax	918-396-4200
Website	http://StanleyFilter.com
Email	stanleyfilter@sbcglobal.net